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<br />CU;~DJ I IUNS U,c- :-';T:'d: I.
<br />
<br />~. 'NOTICE dF DEED RESTRICTIONS
<br />The undersigned understands that this perlit .ay be subject to "deed restrictions" which May be fflore restrictive than City
<br />regulations. The undersigned assules responsibility for COlpliance with any applicable deed restrictions.
<br />
<br />B. UNL I CENSED CONTRACTORS ~~ND CONTRAi2IQfLB..~Sr::,QJ:::l~Ir~.I.1._tI1J~X~
<br />If the OHner has hired a contractor or contractors to undertake Hork, they may be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by laH, both the owner and contractor may be
<br />cited for a lisdeleanor violation under state law. If the owner Dr intended contractor are uncertain as to Hhat licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, (813)
<br />7BB-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor Dr contractors, he is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for which they Hill be responsible. If you, as the OHner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the Hork. If the contractor wishes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to permitting privileges in the
<br />City of ZephyrhilIs.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FE:.s;~~.
<br />
<br />Dw CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES~ AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - Homeowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is someone other than the
<br />"owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the
<br />"oNner' prior to cOllencelent.
<br />
<br />E. CONTRACTOR'S/DWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all Hork Hill be done in compliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a perlit and that all work Kill be performed to leet standards of all laws
<br />regulatinq construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. 1 also
<br />certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in compliance. Such agencies include but are not limited to:
<br />. Departlent of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />. Southwest Florida Water t1anaQelent District - Wells, Cypress Bayheads, Hetland nreas, Altering Watercourses
<br />. ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />. Department of Health & Rehabilitative Services, Environlental Health Unit - Hells, ~asteHater Treatment, Septic Tanks
<br />. US Environlental Protection AQency - Asbestos abatement
<br />I also certify that, if fill laterial is to be used in Flood lone "A' or "A,etc.", it is understood that a drainage plan
<br />addressing a "colpensating volule' will be submitted which is prepared by a professional engineer registered in the state of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed Kith the work and not as authority to violate, cancel alter, Dr
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official froD thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every permit issued shall beco~e invalid
<br />unless the Mork authorized by such permit is COlmenced within six months of issuance, or if work authorized by the permit is
<br />suspended or abandoned for a period of six lonths after the time the Mork is com~enced. One 90 day extension of time, lay be
<br />alloNed for the perlit with fee charge of SI5.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six lonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING THICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING UR IIOTICE OF
<br />COtltlEHCEMEHT. JOB IIDER $2,500 IN VALUE D NOT NEED 10 RECORD AND POST A "NOTI E OF C0!1MEUCEI1EtW.
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The', forego i ng
<br />be ore me t .
<br />
<br />
<br />
<br />
<br />:a~ 9~l:o~~edged
<br />tJJ I -Xi
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />, The foregc1ing ':1stl Llmel}\)~\tJas a~nOVdedged
<br />befcoj-e .m/E r~ i: ~ fa _ ~.(J to by
<br />
<br />~ .--:f)~
<br />
<br />who is,pel-SOnally f':nov'/n to jpe 01"" HFoE, hLt$
<br />proDLlceo
<br />
<br />~:k~~~h~n"t
<br />
<br />(Sig r-e6At.A = ;<. _ COS--rG:6L:i:J
<br />
<br />(Name Typed~ Printed or stamped)
<br />NDTAR'( PUBL IJ~,
<br />
<br />who is personally known to me
<br />prODuced
<br />as identification an~hoft~Jdid not
<br />
<br />trt3~K ~
<br />(S~~filitCX. C8 STELLa
<br />
<br />(Name Typed~ Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />wBAAA It COSfELLO
<br />MV COMMISSION' OC 401518
<br />E)CPIPlS: HoYembel' 2, 1998
<br />IlclIIdlIlITll11iNo\1llYPubIlC\JndIIIYIIIIIII
<br />
<br />
<br />. . . J{".ur.. L~O
<br />MY ~IClN' CO 401518
<br />txP'PlU: NtlvIlmber 2. 1888
<br />IbldecI TIII'Il *"'Y PuIlIIc ~
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